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Jan 7

Balancing Fairness and Performance in Multi-User Spark Workloads with Dynamic Scheduling (extended version)

Apache Spark is a widely adopted framework for large-scale data processing. However, in industrial analytics environments, Spark's built-in schedulers, such as FIFO and fair scheduling, struggle to maintain both user-level fairness and low mean response time, particularly in long-running shared applications. Existing solutions typically focus on job-level fairness which unintentionally favors users who submit more jobs. Although Spark offers a built-in fair scheduler, it lacks adaptability to dynamic user workloads and may degrade overall job performance. We present the User Weighted Fair Queuing (UWFQ) scheduler, designed to minimize job response times while ensuring equitable resource distribution across users and their respective jobs. UWFQ simulates a virtual fair queuing system and schedules jobs based on their estimated finish times under a bounded fairness model. To further address task skew and reduce priority inversions, which are common in Spark workloads, we introduce runtime partitioning, a method that dynamically refines task granularity based on expected runtime. We implement UWFQ within the Spark framework and evaluate its performance using multi-user synthetic workloads and Google cluster traces. We show that UWFQ reduces the average response time of small jobs by up to 74% compared to existing built-in Spark schedulers and to state-of-the-art fair scheduling algorithms.

  • 4 authors
·
Oct 17, 2025

Unlocking Efficient Long-to-Short LLM Reasoning with Model Merging

The transition from System 1 to System 2 reasoning in large language models (LLMs) has marked significant advancements in handling complex tasks through deliberate, iterative thinking. However, this progress often comes at the cost of efficiency, as models tend to overthink, generating redundant reasoning steps without proportional improvements in output quality. Long-to-Short (L2S) reasoning has emerged as a promising solution to this challenge, aiming to balance reasoning depth with practical efficiency. While existing approaches, such as supervised fine-tuning (SFT), reinforcement learning (RL), and prompt engineering, have shown potential, they are either computationally expensive or unstable. Model merging, on the other hand, offers a cost-effective and robust alternative by integrating the quick-thinking capabilities of System 1 models with the methodical reasoning of System 2 models. In this work, we present a comprehensive empirical study on model merging for L2S reasoning, exploring diverse methodologies, including task-vector-based, SVD-based, and activation-informed merging. Our experiments reveal that model merging can reduce average response length by up to 55% while preserving or even improving baseline performance. We also identify a strong correlation between model scale and merging efficacy with extensive evaluations on 1.5B/7B/14B/32B models. Furthermore, we investigate the merged model's ability to self-critique and self-correct, as well as its adaptive response length based on task complexity. Our findings highlight model merging as a highly efficient and effective paradigm for L2S reasoning, offering a practical solution to the overthinking problem while maintaining the robustness of System 2 reasoning. This work can be found on Github https://github.com/hahahawu/Long-to-Short-via-Model-Merging.

  • 10 authors
·
Mar 26, 2025 5

AdaptThink: Reasoning Models Can Learn When to Think

Recently, large reasoning models have achieved impressive performance on various tasks by employing human-like deep thinking. However, the lengthy thinking process substantially increases inference overhead, making efficiency a critical bottleneck. In this work, we first demonstrate that NoThinking, which prompts the reasoning model to skip thinking and directly generate the final solution, is a better choice for relatively simple tasks in terms of both performance and efficiency. Motivated by this, we propose AdaptThink, a novel RL algorithm to teach reasoning models to choose the optimal thinking mode adaptively based on problem difficulty. Specifically, AdaptThink features two core components: (1) a constrained optimization objective that encourages the model to choose NoThinking while maintaining the overall performance; (2) an importance sampling strategy that balances Thinking and NoThinking samples during on-policy training, thereby enabling cold start and allowing the model to explore and exploit both thinking modes throughout the training process. Our experiments indicate that AdaptThink significantly reduces the inference costs while further enhancing performance. Notably, on three math datasets, AdaptThink reduces the average response length of DeepSeek-R1-Distill-Qwen-1.5B by 53% and improves its accuracy by 2.4%, highlighting the promise of adaptive thinking-mode selection for optimizing the balance between reasoning quality and efficiency. Our codes and models are available at https://github.com/THU-KEG/AdaptThink.

  • 5 authors
·
May 19, 2025 3

AdaCoT: Pareto-Optimal Adaptive Chain-of-Thought Triggering via Reinforcement Learning

Large Language Models (LLMs) have demonstrated remarkable capabilities but often face challenges with tasks requiring sophisticated reasoning. While Chain-of-Thought (CoT) prompting significantly enhances reasoning, it indiscriminately generates lengthy reasoning steps for all queries, leading to substantial computational costs and inefficiency, especially for simpler inputs. To address this critical issue, we introduce AdaCoT (Adaptive Chain-of-Thought), a novel framework enabling LLMs to adaptively decide when to invoke CoT. AdaCoT framed adaptive reasoning as a Pareto optimization problem that seeks to balance model performance with the costs associated with CoT invocation (both frequency and computational overhead). We propose a reinforcement learning (RL) based method, specifically utilizing Proximal Policy Optimization (PPO), to dynamically control the CoT triggering decision boundary by adjusting penalty coefficients, thereby allowing the model to determine CoT necessity based on implicit query complexity. A key technical contribution is Selective Loss Masking (SLM), designed to counteract decision boundary collapse during multi-stage RL training, ensuring robust and stable adaptive triggering. Experimental results demonstrate that AdaCoT successfully navigates the Pareto frontier, achieving substantial reductions in CoT usage for queries not requiring elaborate reasoning. For instance, on our production traffic testset, AdaCoT reduced CoT triggering rates to as low as 3.18\% and decreased average response tokens by 69.06%, while maintaining high performance on complex tasks.

  • 9 authors
·
May 17, 2025 3

Data Scheduling Algorithm for Scalable and Efficient IoT Sensing in Cloud Computing

The rapid growth of Internet of Things (IoT) devices produces massive, heterogeneous data streams, demanding scalable and efficient scheduling in cloud environments to meet latency, energy, and Quality-of-Service (QoS) requirements. Existing scheduling methods often lack adaptability to dynamic workloads and network variability inherent in IoT-cloud systems. This paper presents a novel hybrid scheduling algorithm combining deep Reinforcement Learning (RL) and Ant Colony Optimization (ACO) to address these challenges. The deep RL agent utilizes a model-free policy-gradient approach to learn adaptive task allocation policies responsive to real-time workload fluctuations and network states. Simultaneously, the ACO metaheuristic conducts a global combinatorial search to optimize resource distribution, mitigate congestion, and balance load across distributed cloud nodes. Extensive experiments on large-scale synthetic IoT datasets, reflecting diverse workloads and QoS constraints, demonstrate that the proposed method achieves up to 18.4% reduction in average response time, 12.7% improvement in resource utilization, and 9.3% decrease in energy consumption compared to leading heuristics and RL-only baselines. Moreover, the algorithm ensures strict Service Level Agreement (SLA) compliance through deadline-aware scheduling and dynamic prioritization. The results confirm the effectiveness of integrating model-free RL with swarm intelligence for scalable, energy-efficient IoT data scheduling, offering a promising approach for next-generation IoT-cloud platforms.

  • 1 authors
·
Aug 6, 2025

Voila: Voice-Language Foundation Models for Real-Time Autonomous Interaction and Voice Role-Play

A voice AI agent that blends seamlessly into daily life would interact with humans in an autonomous, real-time, and emotionally expressive manner. Rather than merely reacting to commands, it would continuously listen, reason, and respond proactively, fostering fluid, dynamic, and emotionally resonant interactions. We introduce Voila, a family of large voice-language foundation models that make a step towards this vision. Voila moves beyond traditional pipeline systems by adopting a new end-to-end architecture that enables full-duplex, low-latency conversations while preserving rich vocal nuances such as tone, rhythm, and emotion. It achieves a response latency of just 195 milliseconds, surpassing the average human response time. Its hierarchical multi-scale Transformer integrates the reasoning capabilities of large language models (LLMs) with powerful acoustic modeling, enabling natural, persona-aware voice generation -- where users can simply write text instructions to define the speaker's identity, tone, and other characteristics. Moreover, Voila supports over one million pre-built voices and efficient customization of new ones from brief audio samples as short as 10 seconds. Beyond spoken dialogue, Voila is designed as a unified model for a wide range of voice-based applications, including automatic speech recognition (ASR), Text-to-Speech (TTS), and, with minimal adaptation, multilingual speech translation. Voila is fully open-sourced to support open research and accelerate progress toward next-generation human-machine interactions.

  • 7 authors
·
May 5, 2025 4

FSPO: Few-Shot Preference Optimization of Synthetic Preference Data in LLMs Elicits Effective Personalization to Real Users

Effective personalization of LLMs is critical for a broad range of user-interfacing applications such as virtual assistants and content curation. Inspired by the strong in-context learning capabilities of LLMs, we propose Few-Shot Preference Optimization (FSPO), which reframes reward modeling as a meta-learning problem. Under this framework, an LLM learns to quickly adapt to a user via a few labeled preferences from that user, constructing a personalized reward function for them. Additionally, since real-world preference data is scarce and challenging to collect at scale, we propose careful design choices to construct synthetic preference datasets for personalization, generating over 1M synthetic personalized preferences using publicly available LLMs. In particular, to successfully transfer from synthetic data to real users, we find it crucial for the data to exhibit both high diversity and coherent, self-consistent structure. We evaluate FSPO on personalized open-ended generation for up to 1,500 synthetic users across across three domains: movie reviews, pedagogical adaptation based on educational background, and general question answering, along with a controlled human study. Overall, FSPO achieves an 87% Alpaca Eval winrate on average in generating responses that are personalized to synthetic users and a 72% winrate with real human users in open-ended question answering.

  • 8 authors
·
Feb 26, 2025 2

Exploring Response Uncertainty in MLLMs: An Empirical Evaluation under Misleading Scenarios

Multimodal large language models (MLLMs) have recently achieved state-of-the-art performance on tasks ranging from visual question answering to video understanding. However, existing studies have concentrated mainly on visual-textual misalignment, leaving largely unexplored the MLLMs' ability to preserve an originally correct answer when confronted with misleading information. We reveal a response uncertainty phenomenon: across nine standard datasets, twelve state-of-the-art open-source MLLMs overturn a previously correct answer in 65% of cases after receiving a single deceptive cue. To systematically quantify this vulnerability, we propose a two-stage evaluation pipeline: (1) elicit each model's original response on unperturbed inputs; (2) inject explicit (false-answer hints) and implicit (contextual contradictions) misleading instructions, and compute the misleading rate - the fraction of correct-to-incorrect flips. Leveraging the most susceptible examples, we curate the Multimodal Uncertainty Benchmark (MUB), a collection of image-question pairs stratified into low, medium, and high difficulty based on how many of twelve state-of-the-art MLLMs they mislead. Extensive evaluation on twelve open-source and five closed-source models reveals a high uncertainty: average misleading rates exceed 86%, with explicit cues over 67.19% and implicit cues over 80.67%. To reduce the misleading rate, we then fine-tune all open-source MLLMs on a compact 2000-sample mixed-instruction dataset, reducing misleading rates to 6.97% (explicit) and 32.77% (implicit), boosting consistency by nearly 29.37% on highly deceptive inputs, and slightly improving accuracy on standard benchmarks. Our code is available at https://github.com/Yunkaidang/uncertainty

  • 11 authors
·
Nov 4, 2024

MedHalu: Hallucinations in Responses to Healthcare Queries by Large Language Models

The remarkable capabilities of large language models (LLMs) in language understanding and generation have not rendered them immune to hallucinations. LLMs can still generate plausible-sounding but factually incorrect or fabricated information. As LLM-empowered chatbots become popular, laypeople may frequently ask health-related queries and risk falling victim to these LLM hallucinations, resulting in various societal and healthcare implications. In this work, we conduct a pioneering study of hallucinations in LLM-generated responses to real-world healthcare queries from patients. We propose MedHalu, a carefully crafted first-of-its-kind medical hallucination dataset with a diverse range of health-related topics and the corresponding hallucinated responses from LLMs with labeled hallucination types and hallucinated text spans. We also introduce MedHaluDetect framework to evaluate capabilities of various LLMs in detecting hallucinations. We also employ three groups of evaluators -- medical experts, LLMs, and laypeople -- to study who are more vulnerable to these medical hallucinations. We find that LLMs are much worse than the experts. They also perform no better than laypeople and even worse in few cases in detecting hallucinations. To fill this gap, we propose expert-in-the-loop approach to improve hallucination detection through LLMs by infusing expert reasoning. We observe significant performance gains for all the LLMs with an average macro-F1 improvement of 6.3 percentage points for GPT-4.

  • 6 authors
·
Sep 28, 2024

Squeeze the Soaked Sponge: Efficient Off-policy Reinforcement Finetuning for Large Language Model

Reinforcement Learning (RL) has demonstrated its potential to improve the reasoning ability of Large Language Models (LLMs). One major limitation of most existing Reinforcement Finetuning (RFT) methods is that they are on-policy RL in nature, i.e., data generated during the past learning process is not fully utilized. This inevitably comes at a significant cost of compute and time, posing a stringent bottleneck on continuing economic and efficient scaling. To this end, we launch the renaissance of off-policy RL and propose Reincarnating Mix-policy Proximal Policy Gradient (ReMix), a general approach to enable on-policy RFT methods like PPO and GRPO to leverage off-policy data. ReMix consists of three major components: (1) Mix-policy proximal policy gradient with an increased Update-To-Data (UTD) ratio for efficient training; (2) KL-Convex policy constraint to balance the trade-off between stability and flexibility; (3) Policy reincarnation to achieve a seamless transition from efficient early-stage learning to steady asymptotic improvement. In our experiments, we train a series of ReMix models upon PPO, GRPO and 1.5B, 7B base models. ReMix shows an average Pass@1 accuracy of 52.10% (for 1.5B model) with 0.079M response rollouts, 350 training steps and achieves 63.27%/64.39% (for 7B model) with 0.007M/0.011M response rollouts, 50/75 training steps, on five math reasoning benchmarks (i.e., AIME'24, AMC'23, Minerva, OlympiadBench, and MATH500). Compared with 15 recent advanced models, ReMix shows SOTA-level performance with an over 30x to 450x reduction in training cost in terms of rollout data volume. In addition, we reveal insightful findings via multifaceted analysis, including the implicit preference for shorter responses due to the Whipping Effect of off-policy discrepancy, the collapse mode of self-reflection behavior under the presence of severe off-policyness, etc.

  • 8 authors
·
Jul 9, 2025

Chinese vs. World Bank Development Projects: Insights from Earth Observation and Computer Vision on Wealth Gains in Africa, 2002-2013

Debates about whether development projects improve living conditions persist, partly because observational estimates can be biased by incomplete adjustment and because reliable outcome data are scarce at the neighborhood level. We address both issues in a continent-scale, sector-specific evaluation of Chinese and World Bank projects across 9,899 neighborhoods in 36 African countries (2002 to 2013), representative of 88% of the population. First, we use a recent dataset that measures living conditions with a machine-learned wealth index derived from contemporaneous satellite imagery, yielding a consistent panel of 6.7 km square mosaics. Second, to strengthen identification, we proxy officials' map-based placement criteria using pre-treatment daytime satellite images and fuse these with rich tabular covariates to estimate funder- and sector-specific ATEs via inverse-probability weighting. Incorporating imagery systematically shrinks effects relative to tabular-only models, indicating prior work likely overstated benefits. On average, both donors raise wealth, with larger gains for China; sector extremes in our sample include Trade and Tourism for the World Bank (+6.27 IWI points), and Emergency Response for China (+14.32). Assignment-mechanism analyses show World Bank placement is generally more predictable from imagery alone, as well as from tabular covariates. This suggests that Chinese project placements are more driven by non-visible, political, or event-driven factors than World Bank placements. To probe residual concerns about selection on observables, we also estimate within-neighborhood (unit) fixed-effects models at a spatial resolution about 450 times finer than prior fixed effects analyses, leveraging the computer-vision-imputed IWI panels; these deliver smaller but directionally consistent effects.

Breaking the Boundaries of Long-Context LLM Inference: Adaptive KV Management on a Single Commodity GPU

Advanced Large Language Models (LLMs) have achieved impressive performance across a wide range of complex and long-context natural language tasks. However, performing long-context LLM inference locally on a commodity GPU (a PC) with privacy concerns remains challenging due to the increasing memory demands of the key-value (KV) cache. Existing systems typically identify important tokens and selectively offload their KV data to GPU and CPU memory. The KV data needs to be offloaded to disk due to the limited memory on a commodity GPU, but the process is bottlenecked by token importance evaluation overhead and the disk's low bandwidth. In this paper, we present LeoAM, the first efficient importance-aware long-context LLM inference system for a single commodity GPU with adaptive hierarchical GPU-CPU-Disk KV management. Our system employs an adaptive KV management strategy that partitions KV data into variable-sized chunks based on the skewed distribution of attention weights across different layers to reduce computational and additional transmission overheads. Moreover, we propose a lightweight KV abstract method, which minimizes transmission latency by storing and extracting the KV abstract of each chunk on disk instead of the full KV data. LeoAM also leverages the dynamic compression and pipeline techniques to further accelerate inference. Experimental results demonstrate that LongInfer achieves an average inference latency speedup of 3.46x, while maintaining comparable LLM response quality. In scenarios with larger batch sizes, it achieves up to a 5.47x speedup.

  • 4 authors
·
Jun 25, 2025

TRUST: An LLM-Based Dialogue System for Trauma Understanding and Structured Assessments

Objectives: While Large Language Models (LLMs) have been widely used to assist clinicians and support patients, no existing work has explored dialogue systems for standard diagnostic interviews and assessments. This study aims to bridge the gap in mental healthcare accessibility by developing an LLM-powered dialogue system that replicates clinician behavior. Materials and Methods: We introduce TRUST, a framework of cooperative LLM modules capable of conducting formal diagnostic interviews and assessments for Post-Traumatic Stress Disorder (PTSD). To guide the generation of appropriate clinical responses, we propose a Dialogue Acts schema specifically designed for clinical interviews. Additionally, we develop a patient simulation approach based on real-life interview transcripts to replace time-consuming and costly manual testing by clinicians. Results: A comprehensive set of evaluation metrics is designed to assess the dialogue system from both the agent and patient simulation perspectives. Expert evaluations by conversation and clinical specialists show that TRUST performs comparably to real-life clinical interviews. Discussion: Our system performs at the level of average clinicians, with room for future enhancements in communication styles and response appropriateness. Conclusions: Our TRUST framework shows its potential to facilitate mental healthcare availability.

  • 4 authors
·
Apr 30, 2025

Probe-Rewrite-Evaluate: A Workflow for Reliable Benchmarks and Quantifying Evaluation Awareness

Large Language Models (LLMs) often exhibit significant behavioral shifts when they perceive a change from a real-world deployment context to a controlled evaluation setting, a phenomenon known as "evaluation awareness." This discrepancy poses a critical challenge for AI alignment, as benchmark performance may not accurately reflect a model's true safety and honesty. In this work, we systematically quantify these behavioral changes by manipulating the perceived context of prompts. We introduce a methodology that uses a linear probe to score prompts on a continuous scale from "test-like" to "deploy-like" and leverage an LLM rewriting strategy to shift these prompts towards a more natural, deployment-style context while preserving the original task. Using this method, we achieved a 30% increase in the average probe score across a strategic role-playing dataset after rewriting. Evaluating a suite of state-of-the-art models on these original and rewritten prompts, we find that rewritten "deploy-like" prompts induce a significant and consistent shift in behavior. Across all models, we observed an average increase in honest responses of 5.26% and a corresponding average decrease in deceptive responses of 12.40%. Furthermore, refusal rates increased by an average of 6.38%, indicating heightened safety compliance. Our findings demonstrate that evaluation awareness is a quantifiable and manipulable factor that directly influences LLM behavior, revealing that models are more prone to unsafe or deceptive outputs in perceived test environments. This underscores the urgent need for more realistic evaluation frameworks to accurately gauge true model alignment before deployment.

  • 7 authors
·
Aug 30, 2025

Each to Their Own: Exploring the Optimal Embedding in RAG

Recently, as Large Language Models (LLMs) have fundamentally impacted various fields, the methods for incorporating up-to-date information into LLMs or adding external knowledge to construct domain-specific models have garnered wide attention. Retrieval-Augmented Generation (RAG), serving as an inference-time scaling method, is notable for its low cost and minimal effort for parameter tuning. However, due to heterogeneous training data and model architecture, the variant embedding models used in RAG exhibit different benefits across various areas, often leading to different similarity calculation results and, consequently, varying response quality from LLMs. To address this problem, we propose and examine two approaches to enhance RAG by combining the benefits of multiple embedding models, named Mixture-Embedding RAG and Confident RAG. Mixture-Embedding RAG simply sorts and selects retrievals from multiple embedding models based on standardized similarity; however, it does not outperform vanilla RAG. In contrast, Confident RAG generates responses multiple times using different embedding models and then selects the responses with the highest confidence level, demonstrating average improvements of approximately 10% and 5% over vanilla LLMs and RAG, respectively. The consistent results across different LLMs and embedding models indicate that Confident RAG is an efficient plug-and-play approach for various domains. We will release our code upon publication.

  • 3 authors
·
Jul 23, 2025

Beyond No: Quantifying AI Over-Refusal and Emotional Attachment Boundaries

We present an open-source benchmark and evaluation framework for assessing emotional boundary handling in Large Language Models (LLMs). Using a dataset of 1156 prompts across six languages, we evaluated three leading LLMs (GPT-4o, Claude-3.5 Sonnet, and Mistral-large) on their ability to maintain appropriate emotional boundaries through pattern-matched response analysis. Our framework quantifies responses across seven key patterns: direct refusal, apology, explanation, deflection, acknowledgment, boundary setting, and emotional awareness. Results demonstrate significant variation in boundary-handling approaches, with Claude-3.5 achieving the highest overall score (8.69/10) and producing longer, more nuanced responses (86.51 words on average). We identified a substantial performance gap between English (average score 25.62) and non-English interactions (< 0.22), with English responses showing markedly higher refusal rates (43.20% vs. < 1% for non-English). Pattern analysis revealed model-specific strategies, such as Mistral's preference for deflection (4.2%) and consistently low empathy scores across all models (< 0.06). Limitations include potential oversimplification through pattern matching, lack of contextual understanding in response analysis, and binary classification of complex emotional responses. Future work should explore more nuanced scoring methods, expand language coverage, and investigate cultural variations in emotional boundary expectations. Our benchmark and methodology provide a foundation for systematic evaluation of LLM emotional intelligence and boundary-setting capabilities.

  • 2 authors
·
Feb 20, 2025 3

GRNFormer: A Biologically-Guided Framework for Integrating Gene Regulatory Networks into RNA Foundation Models

Foundation models for single-cell RNA sequencing (scRNA-seq) have shown promising capabilities in capturing gene expression patterns. However, current approaches face critical limitations: they ignore biological prior knowledge encoded in gene regulatory relationships and fail to leverage multi-omics signals that could provide complementary regulatory insights. In this paper, we propose GRNFormer, a new framework that systematically integrates multi-scale Gene Regulatory Networks (GRNs) inferred from multi-omics data into RNA foundation model training. Our framework introduces two key innovations. First, we introduce a pipeline for constructing hierarchical GRNs that capture regulatory relationships at both cell-type-specific and cell-specific resolutions. Second, we design a structure-aware integration framework that addresses the information asymmetry in GRNs through two technical advances: (1) A graph topological adapter using multi-head cross-attention to weight regulatory relationships dynamically, and (2) a novel edge perturbation strategy that perturb GRNs with biologically-informed co-expression links to augment graph neural network training. Comprehensive experiments have been conducted on three representative downstream tasks across multiple model architectures to demonstrate the effectiveness of GRNFormer. It achieves consistent improvements over state-of-the-art (SoTA) baselines: 3.6% increase in drug response prediction correlation, 9.6% improvement in single-cell drug classification AUC, and 1.1% average gain in gene perturbation prediction accuracy.

  • 9 authors
·
Mar 3, 2025

Enhancing Large Language Models with Domain-specific Retrieval Augment Generation: A Case Study on Long-form Consumer Health Question Answering in Ophthalmology

Despite the potential of Large Language Models (LLMs) in medicine, they may generate responses lacking supporting evidence or based on hallucinated evidence. While Retrieval Augment Generation (RAG) is popular to address this issue, few studies implemented and evaluated RAG in downstream domain-specific applications. We developed a RAG pipeline with 70,000 ophthalmology-specific documents that retrieve relevant documents to augment LLMs during inference time. In a case study on long-form consumer health questions, we systematically evaluated the responses including over 500 references of LLMs with and without RAG on 100 questions with 10 healthcare professionals. The evaluation focuses on factuality of evidence, selection and ranking of evidence, attribution of evidence, and answer accuracy and completeness. LLMs without RAG provided 252 references in total. Of which, 45.3% hallucinated, 34.1% consisted of minor errors, and 20.6% were correct. In contrast, LLMs with RAG significantly improved accuracy (54.5% being correct) and reduced error rates (18.8% with minor hallucinations and 26.7% with errors). 62.5% of the top 10 documents retrieved by RAG were selected as the top references in the LLM response, with an average ranking of 4.9. The use of RAG also improved evidence attribution (increasing from 1.85 to 2.49 on a 5-point scale, P<0.001), albeit with slight decreases in accuracy (from 3.52 to 3.23, P=0.03) and completeness (from 3.47 to 3.27, P=0.17). The results demonstrate that LLMs frequently exhibited hallucinated and erroneous evidence in the responses, raising concerns for downstream applications in the medical domain. RAG substantially reduced the proportion of such evidence but encountered challenges.

  • 22 authors
·
Sep 20, 2024

Quality Diversity through Human Feedback: Towards Open-Ended Diversity-Driven Optimization

Reinforcement Learning from Human Feedback (RLHF) has shown potential in qualitative tasks where easily defined performance measures are lacking. However, there are drawbacks when RLHF is commonly used to optimize for average human preferences, especially in generative tasks that demand diverse model responses. Meanwhile, Quality Diversity (QD) algorithms excel at identifying diverse and high-quality solutions but often rely on manually crafted diversity metrics. This paper introduces Quality Diversity through Human Feedback (QDHF), a novel approach that progressively infers diversity metrics from human judgments of similarity among solutions, thereby enhancing the applicability and effectiveness of QD algorithms in complex and open-ended domains. Empirical studies show that QDHF significantly outperforms state-of-the-art methods in automatic diversity discovery and matches the efficacy of QD with manually crafted diversity metrics on standard benchmarks in robotics and reinforcement learning. Notably, in open-ended generative tasks, QDHF substantially enhances the diversity of text-to-image generation from a diffusion model and is more favorably received in user studies. We conclude by analyzing QDHF's scalability, robustness, and quality of derived diversity metrics, emphasizing its strength in open-ended optimization tasks. Code and tutorials are available at https://liding.info/qdhf.

  • 5 authors
·
Oct 18, 2023

SimPO: Simple Preference Optimization with a Reference-Free Reward

Direct Preference Optimization (DPO) is a widely used offline preference optimization algorithm that reparameterizes reward functions in reinforcement learning from human feedback (RLHF) to enhance simplicity and training stability. In this work, we propose SimPO, a simpler yet more effective approach. The effectiveness of SimPO is attributed to a key design: using the average log probability of a sequence as the implicit reward. This reward formulation better aligns with model generation and eliminates the need for a reference model, making it more compute and memory efficient. Additionally, we introduce a target reward margin to the Bradley-Terry objective to encourage a larger margin between the winning and losing responses, further enhancing the algorithm's performance. We compare SimPO to DPO and its latest variants across various state-of-the-art training setups, including both base and instruction-tuned models like Mistral and Llama3. We evaluated on extensive instruction-following benchmarks, including AlpacaEval 2, MT-Bench, and the recent challenging Arena-Hard benchmark. Our results demonstrate that SimPO consistently and significantly outperforms existing approaches without substantially increasing response length. Specifically, SimPO outperforms DPO by up to 6.4 points on AlpacaEval 2 and by up to 7.5 points on Arena-Hard. Our top-performing model, built on Llama3-8B-Instruct, achieves a remarkable 44.7 length-controlled win rate on AlpacaEval 2 -- surpassing Claude 3 Opus on the leaderboard, and a 33.8 win rate on Arena-Hard -- making it the strongest 8B open-source model.

  • 3 authors
·
May 23, 2024 1

Mixed-R1: Unified Reward Perspective For Reasoning Capability in Multimodal Large Language Models

Recent works on large language models (LLMs) have successfully demonstrated the emergence of reasoning capabilities via reinforcement learning (RL). Although recent efforts leverage group relative policy optimization (GRPO) for MLLMs post-training, they constantly explore one specific aspect, such as grounding tasks, math problems, or chart analysis. There are no works that can leverage multi-source MLLM tasks for stable reinforcement learning. In this work, we present a unified perspective to solve this problem. We present Mixed-R1, a unified yet straightforward framework that contains a mixed reward function design (Mixed-Reward) and a mixed post-training dataset (Mixed-45K). We first design a data engine to select high-quality examples to build the Mixed-45K post-training dataset. Then, we present a Mixed-Reward design, which contains various reward functions for various MLLM tasks. In particular, it has four different reward functions: matching reward for binary answer or multiple-choice problems, chart reward for chart-aware datasets, IoU reward for grounding problems, and open-ended reward for long-form text responses such as caption datasets. To handle the various long-form text content, we propose a new open-ended reward named Bidirectional Max-Average Similarity (BMAS) by leveraging tokenizer embedding matching between the generated response and the ground truth. Extensive experiments show the effectiveness of our proposed method on various MLLMs, including Qwen2.5-VL and Intern-VL on various sizes. Our dataset and model are available at https://github.com/xushilin1/mixed-r1.

ByteDance ByteDance
·
May 29, 2025

PrimeGuard: Safe and Helpful LLMs through Tuning-Free Routing

Deploying language models (LMs) necessitates outputs to be both high-quality and compliant with safety guidelines. Although Inference-Time Guardrails (ITG) offer solutions that shift model output distributions towards compliance, we find that current methods struggle in balancing safety with helpfulness. ITG Methods that safely address non-compliant queries exhibit lower helpfulness while those that prioritize helpfulness compromise on safety. We refer to this trade-off as the guardrail tax, analogous to the alignment tax. To address this, we propose PrimeGuard, a novel ITG method that utilizes structured control flow. PrimeGuard routes requests to different self-instantiations of the LM with varying instructions, leveraging its inherent instruction-following capabilities and in-context learning. Our tuning-free approach dynamically compiles system-designer guidelines for each query. We construct and release safe-eval, a diverse red-team safety benchmark. Extensive evaluations demonstrate that PrimeGuard, without fine-tuning, overcomes the guardrail tax by (1) significantly increasing resistance to iterative jailbreak attacks and (2) achieving state-of-the-art results in safety guardrailing while (3) matching helpfulness scores of alignment-tuned models. Extensive evaluations demonstrate that PrimeGuard, without fine-tuning, outperforms all competing baselines and overcomes the guardrail tax by improving the fraction of safe responses from 61% to 97% and increasing average helpfulness scores from 4.17 to 4.29 on the largest models, while reducing attack success rate from 100% to 8%. PrimeGuard implementation is available at https://github.com/dynamofl/PrimeGuard and safe-eval dataset is available at https://huggingface.co/datasets/dynamoai/safe_eval.

  • 4 authors
·
Jul 23, 2024 3

EVOREFUSE: Evolutionary Prompt Optimization for Evaluation and Mitigation of LLM Over-Refusal to Pseudo-Malicious Instructions

Large language models (LLMs) frequently refuse to respond to pseudo-malicious instructions: semantically harmless input queries triggering unnecessary LLM refusals due to conservative safety alignment, significantly impairing user experience. Collecting such instructions is crucial for evaluating and mitigating over-refusals, but existing instruction curation methods, like manual creation or instruction rewriting, either lack scalability or fail to produce sufficiently diverse and effective refusal-inducing prompts. To address these limitations, we introduce EVOREFUSE, a prompt optimization approach that generates diverse pseudo-malicious instructions consistently eliciting confident refusals across LLMs. EVOREFUSE employs an evolutionary algorithm exploring the instruction space in more diverse directions than existing methods via mutation strategies and recombination, and iteratively evolves seed instructions to maximize evidence lower bound on LLM refusal probability. Using EVOREFUSE, we create two novel datasets: EVOREFUSE-TEST, a benchmark of 582 pseudo-malicious instructions that outperforms the next-best benchmark with 140.41% higher average refusal triggering rate across 9 LLMs, 34.86% greater lexical diversity, and 40.03% improved LLM response confidence scores; and EVOREFUSE-ALIGN, which provides 3,000 pseudo-malicious instructions with responses for supervised and preference-based alignment training. LLAMA3.1-8B-INSTRUCT supervisedly fine-tuned on EVOREFUSE-ALIGN achieves up to 14.31% fewer over-refusals than models trained on the second-best alignment dataset, without compromising safety. Our analysis with EVOREFUSE-TEST reveals models trigger over-refusals by overly focusing on sensitive keywords while ignoring broader context.

  • 9 authors
·
May 29, 2025 2

rStar2-Agent: Agentic Reasoning Technical Report

We introduce rStar2-Agent, a 14B math reasoning model trained with agentic reinforcement learning to achieve frontier-level performance. Beyond current long CoT, the model demonstrates advanced cognitive behaviors, such as thinking carefully before using Python coding tools and reflecting on code execution feedback to autonomously explore, verify, and refine intermediate steps in complex problem-solving. This capability is enabled through three key innovations that makes agentic RL effective at scale: (i) an efficient RL infrastructure with a reliable Python code environment that supports high-throughput execution and mitigates the high rollout costs, enabling training on limited GPU resources (64 MI300X GPUs); (ii) GRPO-RoC, an agentic RL algorithm with a Resample-on-Correct rollout strategy that addresses the inherent environment noises from coding tools, allowing the model to reason more effectively in a code environment; (iii) An efficient agent training recipe that starts with non-reasoning SFT and progresses through multi-RL stages, yielding advanced cognitive abilities with minimal compute cost. To this end, rStar2-Agent boosts a pre-trained 14B model to state of the art in only 510 RL steps within one week, achieving average pass@1 scores of 80.6% on AIME24 and 69.8% on AIME25, surpassing DeepSeek-R1 (671B) with significantly shorter responses. Beyond mathematics, rStar2-Agent-14B also demonstrates strong generalization to alignment, scientific reasoning, and agentic tool-use tasks. Code and training recipes are available at https://github.com/microsoft/rStar.

  • 15 authors
·
Aug 28, 2025 7

Questioning the Survey Responses of Large Language Models

As large language models increase in capability, researchers have started to conduct surveys of all kinds on these models with varying scientific motivations. In this work, we examine what we can learn from a model's survey responses on the basis of the well-established American Community Survey (ACS) by the U.S. Census Bureau. Evaluating more than a dozen different models, varying in size from a few hundred million to ten billion parameters, hundreds of thousands of times each on questions from the ACS, we systematically establish two dominant patterns. First, smaller models have a significant position and labeling bias, for example, towards survey responses labeled with the letter "A". This A-bias diminishes, albeit slowly, as model size increases. Second, when adjusting for this labeling bias through randomized answer ordering, models still do not trend toward US population statistics or those of any cognizable population. Rather, models across the board trend toward uniformly random aggregate statistics over survey responses. This pattern is robust to various different ways of prompting the model, including what is the de-facto standard. Our findings demonstrate that aggregate statistics of a language model's survey responses lack the signals found in human populations. This absence of statistical signal cautions about the use of survey responses from large language models at present time.

  • 3 authors
·
Jun 13, 2023

Reliable and Efficient Amortized Model-based Evaluation

Comprehensive evaluations of language models (LM) during both development and deployment phases are necessary because these models possess numerous capabilities (e.g., mathematical reasoning, legal support, or medical diagnostic) as well as safety risks (e.g., racial bias, toxicity, or misinformation). The average score across a wide range of benchmarks provides a signal that helps guide the use of these LMs in practice. Currently, holistic evaluations are costly due to the large volume of benchmark questions, making frequent evaluations impractical. A popular attempt to lower the cost is to compute the average score on a subset of the benchmark. This approach, unfortunately, often renders an unreliable measure of LM performance because the average score is often confounded with the difficulty of the questions in the benchmark subset. Item response theory (IRT) was designed to address this challenge, providing a reliable measurement by careful controlling for question difficulty. Unfortunately, question difficulty is expensive to estimate. Facing this challenge, we train a model that predicts question difficulty from its content, enabling a reliable measurement at a fraction of the cost. In addition, we leverage this difficulty predictor to further improve the evaluation efficiency through training a question generator given a difficulty level. This question generator is essential in adaptive testing, where, instead of using a random subset of the benchmark questions, informative questions are adaptively chosen based on the current estimation of LLM performance. Experiments on 22 common natural language benchmarks and 172 LMs show that this approach is more reliable and efficient compared to current common practice.

  • 5 authors
·
Mar 17, 2025

Evaluation of GPT-3.5 and GPT-4 for supporting real-world information needs in healthcare delivery

Despite growing interest in using large language models (LLMs) in healthcare, current explorations do not assess the real-world utility and safety of LLMs in clinical settings. Our objective was to determine whether two LLMs can serve information needs submitted by physicians as questions to an informatics consultation service in a safe and concordant manner. Sixty six questions from an informatics consult service were submitted to GPT-3.5 and GPT-4 via simple prompts. 12 physicians assessed the LLM responses' possibility of patient harm and concordance with existing reports from an informatics consultation service. Physician assessments were summarized based on majority vote. For no questions did a majority of physicians deem either LLM response as harmful. For GPT-3.5, responses to 8 questions were concordant with the informatics consult report, 20 discordant, and 9 were unable to be assessed. There were 29 responses with no majority on "Agree", "Disagree", and "Unable to assess". For GPT-4, responses to 13 questions were concordant, 15 discordant, and 3 were unable to be assessed. There were 35 responses with no majority. Responses from both LLMs were largely devoid of overt harm, but less than 20% of the responses agreed with an answer from an informatics consultation service, responses contained hallucinated references, and physicians were divided on what constitutes harm. These results suggest that while general purpose LLMs are able to provide safe and credible responses, they often do not meet the specific information need of a given question. A definitive evaluation of the usefulness of LLMs in healthcare settings will likely require additional research on prompt engineering, calibration, and custom-tailoring of general purpose models.

  • 18 authors
·
Apr 26, 2023

Diminished Diversity-of-Thought in a Standard Large Language Model

We test whether Large Language Models (LLMs) can be used to simulate human participants in social-science studies. To do this, we run replications of 14 studies from the Many Labs 2 replication project with OpenAI's text-davinci-003 model, colloquially known as GPT3.5. Based on our pre-registered analyses, we find that among the eight studies we could analyse, our GPT sample replicated 37.5% of the original results and 37.5% of the Many Labs 2 results. However, we were unable to analyse the remaining six studies due to an unexpected phenomenon we call the "correct answer" effect. Different runs of GPT3.5 answered nuanced questions probing political orientation, economic preference, judgement, and moral philosophy with zero or near-zero variation in responses: with the supposedly "correct answer." In one exploratory follow-up study, we found that a "correct answer" was robust to changing the demographic details that precede the prompt. In another, we found that most but not all "correct answers" were robust to changing the order of answer choices. One of our most striking findings occurred in our replication of the Moral Foundations Theory survey results, where we found GPT3.5 identifying as a political conservative in 99.6% of the cases, and as a liberal in 99.3% of the cases in the reverse-order condition. However, both self-reported 'GPT conservatives' and 'GPT liberals' showed right-leaning moral foundations. Our results cast doubts on the validity of using LLMs as a general replacement for human participants in the social sciences. Our results also raise concerns that a hypothetical AI-led future may be subject to a diminished diversity-of-thought.

  • 3 authors
·
Feb 13, 2023

Question answering systems for health professionals at the point of care -- a systematic review

Objective: Question answering (QA) systems have the potential to improve the quality of clinical care by providing health professionals with the latest and most relevant evidence. However, QA systems have not been widely adopted. This systematic review aims to characterize current medical QA systems, assess their suitability for healthcare, and identify areas of improvement. Materials and methods: We searched PubMed, IEEE Xplore, ACM Digital Library, ACL Anthology and forward and backward citations on 7th February 2023. We included peer-reviewed journal and conference papers describing the design and evaluation of biomedical QA systems. Two reviewers screened titles, abstracts, and full-text articles. We conducted a narrative synthesis and risk of bias assessment for each study. We assessed the utility of biomedical QA systems. Results: We included 79 studies and identified themes, including question realism, answer reliability, answer utility, clinical specialism, systems, usability, and evaluation methods. Clinicians' questions used to train and evaluate QA systems were restricted to certain sources, types and complexity levels. No system communicated confidence levels in the answers or sources. Many studies suffered from high risks of bias and applicability concerns. Only 8 studies completely satisfied any criterion for clinical utility, and only 7 reported user evaluations. Most systems were built with limited input from clinicians. Discussion: While machine learning methods have led to increased accuracy, most studies imperfectly reflected real-world healthcare information needs. Key research priorities include developing more realistic healthcare QA datasets and considering the reliability of answer sources, rather than merely focusing on accuracy.

  • 9 authors
·
Jan 24, 2024

Predicting sepsis in multi-site, multi-national intensive care cohorts using deep learning

Despite decades of clinical research, sepsis remains a global public health crisis with high mortality, and morbidity. Currently, when sepsis is detected and the underlying pathogen is identified, organ damage may have already progressed to irreversible stages. Effective sepsis management is therefore highly time-sensitive. By systematically analysing trends in the plethora of clinical data available in the intensive care unit (ICU), an early prediction of sepsis could lead to earlier pathogen identification, resistance testing, and effective antibiotic and supportive treatment, and thereby become a life-saving measure. Here, we developed and validated a machine learning (ML) system for the prediction of sepsis in the ICU. Our analysis represents the largest multi-national, multi-centre in-ICU study for sepsis prediction using ML to date. Our dataset contains 156,309 unique ICU admissions, which represent a refined and harmonised subset of five large ICU databases originating from three countries. Using the international consensus definition Sepsis-3, we derived hourly-resolved sepsis label annotations, amounting to 26,734 (17.1%) septic stays. We compared our approach, a deep self-attention model, to several clinical baselines as well as ML baselines and performed an extensive internal and external validation within and across databases. On average, our model was able to predict sepsis with an AUROC of 0.847 pm 0.050 (internal out-of sample validation) and 0.761 pm 0.052 (external validation). For a harmonised prevalence of 17%, at 80% recall our model detects septic patients with 39% precision 3.7 hours in advance.

  • 8 authors
·
Jul 12, 2021

Offensive Language and Hate Speech Detection for Danish

The presence of offensive language on social media platforms and the implications this poses is becoming a major concern in modern society. Given the enormous amount of content created every day, automatic methods are required to detect and deal with this type of content. Until now, most of the research has focused on solving the problem for the English language, while the problem is multilingual. We construct a Danish dataset containing user-generated comments from Reddit and Facebook. It contains user generated comments from various social media platforms, and to our knowledge, it is the first of its kind. Our dataset is annotated to capture various types and target of offensive language. We develop four automatic classification systems, each designed to work for both the English and the Danish language. In the detection of offensive language in English, the best performing system achieves a macro averaged F1-score of 0.74, and the best performing system for Danish achieves a macro averaged F1-score of 0.70. In the detection of whether or not an offensive post is targeted, the best performing system for English achieves a macro averaged F1-score of 0.62, while the best performing system for Danish achieves a macro averaged F1-score of 0.73. Finally, in the detection of the target type in a targeted offensive post, the best performing system for English achieves a macro averaged F1-score of 0.56, and the best performing system for Danish achieves a macro averaged F1-score of 0.63. Our work for both the English and the Danish language captures the type and targets of offensive language, and present automatic methods for detecting different kinds of offensive language such as hate speech and cyberbullying.

  • 2 authors
·
Aug 13, 2019

ArxivBench: Can LLMs Assist Researchers in Conducting Research?

Large language models (LLMs) have demonstrated remarkable effectiveness in completing various tasks such as reasoning, translation, and question answering. However the issue of factual incorrect content in LLM-generated responses remains a persistent challenge. In this study, we evaluate both proprietary and open-source LLMs on their ability to respond with relevant research papers and accurate links to articles hosted on the arXiv platform, based on high level prompts. To facilitate this evaluation, we introduce arXivBench, a benchmark specifically designed to assess LLM performance across eight major subject categories on arXiv and five subfields within computer science, one of the most popular categories among them. Our findings reveal a concerning accuracy of LLM-generated responses depending on the subject, with some subjects experiencing significantly lower accuracy than others. Notably, Claude-3.5-Sonnet exhibits a substantial advantage in generating both relevant and accurate responses. And interestingly, most LLMs achieve a much higher accuracy in the Artificial Intelligence sub-field than other sub-fields. This benchmark provides a standardized tool for evaluating the reliability of LLM-generated scientific responses, promoting more dependable use of LLMs in academic and research environments. Our code is open-sourced at https://github.com/arxivBenchLLM/arXivBench and our dataset is available on huggingface at https://huggingface.co/datasets/arXivBenchLLM/arXivBench.

  • 3 authors
·
Apr 6, 2025

Constructing interval variables via faceted Rasch measurement and multitask deep learning: a hate speech application

We propose a general method for measuring complex variables on a continuous, interval spectrum by combining supervised deep learning with the Constructing Measures approach to faceted Rasch item response theory (IRT). We decompose the target construct, hate speech in our case, into multiple constituent components that are labeled as ordinal survey items. Those survey responses are transformed via IRT into a debiased, continuous outcome measure. Our method estimates the survey interpretation bias of the human labelers and eliminates that influence on the generated continuous measure. We further estimate the response quality of each labeler using faceted IRT, allowing responses from low-quality labelers to be removed. Our faceted Rasch scaling procedure integrates naturally with a multitask deep learning architecture for automated prediction on new data. The ratings on the theorized components of the target outcome are used as supervised, ordinal variables for the neural networks' internal concept learning. We test the use of an activation function (ordinal softmax) and loss function (ordinal cross-entropy) designed to exploit the structure of ordinal outcome variables. Our multitask architecture leads to a new form of model interpretation because each continuous prediction can be directly explained by the constituent components in the penultimate layer. We demonstrate this new method on a dataset of 50,000 social media comments sourced from YouTube, Twitter, and Reddit and labeled by 11,000 U.S.-based Amazon Mechanical Turk workers to measure a continuous spectrum from hate speech to counterspeech. We evaluate Universal Sentence Encoders, BERT, and RoBERTa as language representation models for the comment text, and compare our predictive accuracy to Google Jigsaw's Perspective API models, showing significant improvement over this standard benchmark.

  • 4 authors
·
Sep 21, 2020

A Scalable Framework for Evaluating Health Language Models

Large language models (LLMs) have emerged as powerful tools for analyzing complex datasets. Recent studies demonstrate their potential to generate useful, personalized responses when provided with patient-specific health information that encompasses lifestyle, biomarkers, and context. As LLM-driven health applications are increasingly adopted, rigorous and efficient one-sided evaluation methodologies are crucial to ensure response quality across multiple dimensions, including accuracy, personalization and safety. Current evaluation practices for open-ended text responses heavily rely on human experts. This approach introduces human factors and is often cost-prohibitive, labor-intensive, and hinders scalability, especially in complex domains like healthcare where response assessment necessitates domain expertise and considers multifaceted patient data. In this work, we introduce Adaptive Precise Boolean rubrics: an evaluation framework that streamlines human and automated evaluation of open-ended questions by identifying gaps in model responses using a minimal set of targeted rubrics questions. Our approach is based on recent work in more general evaluation settings that contrasts a smaller set of complex evaluation targets with a larger set of more precise, granular targets answerable with simple boolean responses. We validate this approach in metabolic health, a domain encompassing diabetes, cardiovascular disease, and obesity. Our results demonstrate that Adaptive Precise Boolean rubrics yield higher inter-rater agreement among expert and non-expert human evaluators, and in automated assessments, compared to traditional Likert scales, while requiring approximately half the evaluation time of Likert-based methods. This enhanced efficiency, particularly in automated evaluation and non-expert contributions, paves the way for more extensive and cost-effective evaluation of LLMs in health.

  • 13 authors
·
Mar 30, 2025

LLMs Can Generate a Better Answer by Aggregating Their Own Responses

Large Language Models (LLMs) have shown remarkable capabilities across tasks, yet they often require additional prompting techniques when facing complex problems. While approaches like self-correction and response selection have emerged as popular solutions, recent studies have shown these methods perform poorly when relying on the LLM itself to provide feedback or selection criteria. We argue this limitation stems from the fact that common LLM post-training procedures lack explicit supervision for discriminative judgment tasks. In this paper, we propose Generative Self-Aggregation (GSA), a novel prompting method that improves answer quality without requiring the model's discriminative capabilities. GSA first samples multiple diverse responses from the LLM, then aggregates them to obtain an improved solution. Unlike previous approaches, our method does not require the LLM to correct errors or compare response quality; instead, it leverages the model's generative abilities to synthesize a new response based on the context of multiple samples. While GSA shares similarities with the self-consistency (SC) approach for response aggregation, SC requires specific verifiable tokens to enable majority voting. In contrast, our approach is more general and can be applied to open-ended tasks. Empirical evaluation demonstrates that GSA effectively improves response quality across various tasks, including mathematical reasoning, knowledge-based problems, and open-ended generation tasks such as code synthesis and conversational responses.

  • 9 authors
·
Mar 6, 2025

Comparing the Efficacy of GPT-4 and Chat-GPT in Mental Health Care: A Blind Assessment of Large Language Models for Psychological Support

Background: Rapid advancements in natural language processing have led to the development of large language models with the potential to revolutionize mental health care. These models have shown promise in assisting clinicians and providing support to individuals experiencing various psychological challenges. Objective: This study aims to compare the performance of two large language models, GPT-4 and Chat-GPT, in responding to a set of 18 psychological prompts, to assess their potential applicability in mental health care settings. Methods: A blind methodology was employed, with a clinical psychologist evaluating the models' responses without knowledge of their origins. The prompts encompassed a diverse range of mental health topics, including depression, anxiety, and trauma, to ensure a comprehensive assessment. Results: The results demonstrated a significant difference in performance between the two models (p > 0.05). GPT-4 achieved an average rating of 8.29 out of 10, while Chat-GPT received an average rating of 6.52. The clinical psychologist's evaluation suggested that GPT-4 was more effective at generating clinically relevant and empathetic responses, thereby providing better support and guidance to potential users. Conclusions: This study contributes to the growing body of literature on the applicability of large language models in mental health care settings. The findings underscore the importance of continued research and development in the field to optimize these models for clinical use. Further investigation is necessary to understand the specific factors underlying the performance differences between the two models and to explore their generalizability across various populations and mental health conditions.

  • 1 authors
·
May 15, 2024

The Edinburgh International Accents of English Corpus: Towards the Democratization of English ASR

English is the most widely spoken language in the world, used daily by millions of people as a first or second language in many different contexts. As a result, there are many varieties of English. Although the great many advances in English automatic speech recognition (ASR) over the past decades, results are usually reported based on test datasets which fail to represent the diversity of English as spoken today around the globe. We present the first release of The Edinburgh International Accents of English Corpus (EdAcc). This dataset attempts to better represent the wide diversity of English, encompassing almost 40 hours of dyadic video call conversations between friends. Unlike other datasets, EdAcc includes a wide range of first and second-language varieties of English and a linguistic background profile of each speaker. Results on latest public, and commercial models show that EdAcc highlights shortcomings of current English ASR models. The best performing model, trained on 680 thousand hours of transcribed data, obtains an average of 19.7% word error rate (WER) -- in contrast to the 2.7% WER obtained when evaluated on US English clean read speech. Across all models, we observe a drop in performance on Indian, Jamaican, and Nigerian English speakers. Recordings, linguistic backgrounds, data statement, and evaluation scripts are released on our website (https://groups.inf.ed.ac.uk/edacc/) under CC-BY-SA license.

  • 6 authors
·
Mar 31, 2023

Towards a deep learning approach for classifying treatment response in glioblastomas

Glioblastomas are the most aggressive type of glioma, having a 5-year survival rate of 6.9%. Treatment typically involves surgery, followed by radiotherapy and chemotherapy, and frequent magnetic resonance imaging (MRI) scans to monitor disease progression. To assess treatment response, radiologists use the Response Assessment in Neuro-Oncology (RANO) criteria to categorize the tumor into one of four labels based on imaging and clinical features: complete response, partial response, stable disease, and progressive disease. This assessment is very complex and time-consuming. Since deep learning (DL) has been widely used to tackle classification problems, this work aimed to implement the first DL pipeline for the classification of RANO criteria based on two consecutive MRI acquisitions. The models were trained and tested on the open dataset LUMIERE. Five approaches were tested: 1) subtraction of input images, 2) different combinations of modalities, 3) different model architectures, 4) different pretraining tasks, and 5) adding clinical data. The pipeline that achieved the best performance used a Densenet264 considering only T1-weighted, T2-weighted, and Fluid Attenuated Inversion Recovery (FLAIR) images as input without any pretraining. A median Balanced Accuracy of 50.96% was achieved. Additionally, explainability methods were applied. Using Saliency Maps, the tumor region was often successfully highlighted. In contrast, Grad-CAM typically failed to highlight the tumor region, with some exceptions observed in the Complete Response and Progressive Disease classes, where it effectively identified the tumor region. These results set a benchmark for future studies on glioblastoma treatment response assessment based on the RANO criteria while emphasizing the heterogeneity of factors that might play a role when assessing the tumor's response to treatment.

  • 6 authors
·
Apr 25, 2025

Narrowing the Knowledge Evaluation Gap: Open-Domain Question Answering with Multi-Granularity Answers

Factual questions typically can be answered correctly at different levels of granularity. For example, both ``August 4, 1961'' and ``1961'' are correct answers to the question ``When was Barack Obama born?''. Standard question answering (QA) evaluation protocols, however, do not explicitly take this into account and compare a predicted answer against answers of a single granularity level. In this work, we propose GRANOLA QA, a novel evaluation setting where a predicted answer is evaluated in terms of accuracy and informativeness against a set of multi-granularity answers. We present a simple methodology for enriching existing datasets with multi-granularity answers, and create GRANOLA-EQ, a multi-granularity version of the EntityQuestions dataset. We evaluate a range of decoding methods on GRANOLA-EQ, including a new algorithm, called Decoding with Response Aggregation (DRAG), that is geared towards aligning the response granularity with the model's uncertainty. Our experiments show that large language models with standard decoding tend to generate specific answers, which are often incorrect. In contrast, when evaluated on multi-granularity answers, DRAG yields a nearly 20 point increase in accuracy on average, which further increases for rare entities. Overall, this reveals that standard evaluation and decoding schemes may significantly underestimate the knowledge encapsulated in LMs.

  • 3 authors
·
Jan 9, 2024

Spoken Dialogue System for Medical Prescription Acquisition on Smartphone: Development, Corpus and Evaluation

Hospital information systems (HIS) have become an essential part of healthcare institutions and now incorporate prescribing support software. Prescription support software allows for structured information capture, which improves the safety, appropriateness and efficiency of prescriptions and reduces the number of adverse drug events (ADEs). However, such a system increases the amount of time physicians spend at a computer entering information instead of providing medical care. In addition, any new visiting clinician must learn to manage complex interfaces since each HIS has its own interfaces. In this paper, we present a natural language interface for e-prescribing software in the form of a spoken dialogue system accessible on a smartphone. This system allows prescribers to record their prescriptions verbally, a form of interaction closer to their usual practice. The system extracts the formal representation of the prescription ready to be checked by the prescribing software and uses the dialogue to request mandatory information, correct errors or warn of particular situations. Since, to the best of our knowledge, there is no existing voice-based prescription dialogue system, we present the system developed in a low-resource environment, focusing on dialogue modeling, semantic extraction and data augmentation. The system was evaluated in the wild with 55 participants. This evaluation showed that our system has an average prescription time of 66.15 seconds for physicians and 35.64 seconds for other experts, and a task success rate of 76\% for physicians and 72\% for other experts. All evaluation data were recorded and annotated to form PxCorpus, the first spoken drug prescription corpus that has been made fully available to the community (https://doi.org/10.5281/zenodo.6524162).

  • 6 authors
·
Nov 6, 2023

Deep Learning Segmentation of Ascites on Abdominal CT Scans for Automatic Volume Quantification

Purpose: To evaluate the performance of an automated deep learning method in detecting ascites and subsequently quantifying its volume in patients with liver cirrhosis and ovarian cancer. Materials and Methods: This retrospective study included contrast-enhanced and non-contrast abdominal-pelvic CT scans of patients with cirrhotic ascites and patients with ovarian cancer from two institutions, National Institutes of Health (NIH) and University of Wisconsin (UofW). The model, trained on The Cancer Genome Atlas Ovarian Cancer dataset (mean age, 60 years +/- 11 [s.d.]; 143 female), was tested on two internal (NIH-LC and NIH-OV) and one external dataset (UofW-LC). Its performance was measured by the Dice coefficient, standard deviations, and 95% confidence intervals, focusing on ascites volume in the peritoneal cavity. Results: On NIH-LC (25 patients; mean age, 59 years +/- 14 [s.d.]; 14 male) and NIH-OV (166 patients; mean age, 65 years +/- 9 [s.d.]; all female), the model achieved Dice scores of 0.855 +/- 0.061 (CI: 0.831-0.878) and 0.826 +/- 0.153 (CI: 0.764-0.887), with median volume estimation errors of 19.6% (IQR: 13.2-29.0) and 5.3% (IQR: 2.4-9.7) respectively. On UofW-LC (124 patients; mean age, 46 years +/- 12 [s.d.]; 73 female), the model had a Dice score of 0.830 +/- 0.107 (CI: 0.798-0.863) and median volume estimation error of 9.7% (IQR: 4.5-15.1). The model showed strong agreement with expert assessments, with r^2 values of 0.79, 0.98, and 0.97 across the test sets. Conclusion: The proposed deep learning method performed well in segmenting and quantifying the volume of ascites in concordance with expert radiologist assessments.

  • 7 authors
·
Jun 22, 2024

DefAn: Definitive Answer Dataset for LLMs Hallucination Evaluation

Large Language Models (LLMs) have demonstrated remarkable capabilities, revolutionizing the integration of AI in daily life applications. However, they are prone to hallucinations, generating claims that contradict established facts, deviating from prompts, and producing inconsistent responses when the same prompt is presented multiple times. Addressing these issues is challenging due to the lack of comprehensive and easily assessable benchmark datasets. Most existing datasets are small and rely on multiple-choice questions, which are inadequate for evaluating the generative prowess of LLMs. To measure hallucination in LLMs, this paper introduces a comprehensive benchmark dataset comprising over 75,000 prompts across eight domains. These prompts are designed to elicit definitive, concise, and informative answers. The dataset is divided into two segments: one publicly available for testing and assessing LLM performance and a hidden segment for benchmarking various LLMs. In our experiments, we tested six LLMs-GPT-3.5, LLama 2, LLama 3, Gemini, Mixtral, and Zephyr-revealing that overall factual hallucination ranges from 59% to 82% on the public dataset and 57% to 76% in the hidden benchmark. Prompt misalignment hallucination ranges from 6% to 95% in the public dataset and 17% to 94% in the hidden counterpart. Average consistency ranges from 21% to 61% and 22% to 63%, respectively. Domain-wise analysis shows that LLM performance significantly deteriorates when asked for specific numeric information while performing moderately with person, location, and date queries. Our dataset demonstrates its efficacy and serves as a comprehensive benchmark for LLM performance evaluation. Our dataset and LLMs responses are available at https://github.com/ashikiut/DefAn{https://github.com/ashikiut/DefAn}.

  • 4 authors
·
Jun 13, 2024

Crowdsourcing Dermatology Images with Google Search Ads: Creating a Real-World Skin Condition Dataset

Background: Health datasets from clinical sources do not reflect the breadth and diversity of disease in the real world, impacting research, medical education, and artificial intelligence (AI) tool development. Dermatology is a suitable area to develop and test a new and scalable method to create representative health datasets. Methods: We used Google Search advertisements to invite contributions to an open access dataset of images of dermatology conditions, demographic and symptom information. With informed contributor consent, we describe and release this dataset containing 10,408 images from 5,033 contributions from internet users in the United States over 8 months starting March 2023. The dataset includes dermatologist condition labels as well as estimated Fitzpatrick Skin Type (eFST) and Monk Skin Tone (eMST) labels for the images. Results: We received a median of 22 submissions/day (IQR 14-30). Female (66.72%) and younger (52% < age 40) contributors had a higher representation in the dataset compared to the US population, and 32.6% of contributors reported a non-White racial or ethnic identity. Over 97.5% of contributions were genuine images of skin conditions. Dermatologist confidence in assigning a differential diagnosis increased with the number of available variables, and showed a weaker correlation with image sharpness (Spearman's P values <0.001 and 0.01 respectively). Most contributions were short-duration (54% with onset < 7 days ago ) and 89% were allergic, infectious, or inflammatory conditions. eFST and eMST distributions reflected the geographical origin of the dataset. The dataset is available at github.com/google-research-datasets/scin . Conclusion: Search ads are effective at crowdsourcing images of health conditions. The SCIN dataset bridges important gaps in the availability of representative images of common skin conditions.

  • 20 authors
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Feb 28, 2024